- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $462.69 / $2,318.00 / $16,042.00
| Facility | | $462.69 | $2,318.00 | $16,042.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,822.86 / $4,329.25 / $16,527.46
| Facility | 50 | $3,822.86 | $4,329.25 | $16,527.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,521.00 / $15,205.00 / $25,750.00
| Facility | | $1,521.00 | $15,205.00 | $25,750.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $450.59 / $636.12 / $954.18
| Facility | | $450.59 | $636.12 | $954.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,251.04 / $3,251.04 / $3,251.04
| Facility | | $3,251.04 | $3,251.04 | $3,251.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,932.00 / $8,025.00 / $11,038.00
| Facility | | $3,932.00 | $8,025.00 | $11,038.00 |